Organization Active NPI

Midwest Heart Institute

  • Cardiovascular Disease Physician
  • Festus, MO
National Provider Identifier
1689128019
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MIDWEST HEART INSTITUTE
Practice address
1439 US Highway 61
Ste a
Festus, MO 63028-4153
Phone
(636) 931-7101
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andre Bouhasin, MD
Title
Owner
Phone
(314) 517-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1439 US Highway 61
Ste a
Festus, MO 63028-4153

Mailing address

9225 Caddyshack Cir
Saint Louis, MO 63127-1944

National Provider Directory

National Provider Directory

Locations

513 W Pine St
Farmington, MO 63640
Phone (573) 701-0090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1689128019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 CADDYSHACK CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 US HIGHWAY 61",
            "address_2": "STE A",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284153",
            "telephone_number": "636-931-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEART INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BOUHASIN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-517-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.